Individual provider Active NPI

Sondra Beres, PHD

  • Marriage & Family Therapist
  • Edmonds, WA
National Provider Identifier
1568765170
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60975646 Issued in WA
Practice address
300 Admiral Way Ste 203
Edmonds, WA 98020
Phone
(425) 789-1073
NPI assigned
Dec 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 560 CO
Marriage & Family Therapist 106H00000X LF60975646 WA Primary

Addresses

Primary practice location

300 Admiral Way Ste 203
Edmonds, WA 98020

Mailing address

7909 218TH St SW Apt 6
Edmonds, WA 98026-7964
Phone (669) 210-6460

Other practice location 1

445 Union Blvd
Ste 302
Lakewood, CO 80228-1237
Phone (303) 385-7746

Other practice location 2

445 Union Blvd
Ste 302
Lakewood, CO 80228-1237
Phone (303) 385-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LF60975646WAMDMarriage & Family Therapist
560COMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Snohomish Psychology Associates, PLLC PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1568765170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 218TH ST SW APT 6",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267964",
            "telephone_number": "669-210-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ADMIRAL WAY STE 203",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98020",
            "telephone_number": "425-789-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Union Blvd",
            "address_2": "Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281237",
            "country_code": "US",
            "telephone_number": "303-385-7746",
            "fax_number": "303-635-1363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Union Blvd",
            "address_2": "Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281237",
            "country_code": "US",
            "telephone_number": "303-385-7746",
            "fax_number": "303-635-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERES",
        "first_name": "SONDRA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "560",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60975646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.